WIDIMSKÝ, Petr, Filip ROHÁČ, Josef ŠTÁSEK, Petr KALA, Richard ROKYTA, Boyko KUZMANOV, Martin JAKL, Martin POLOCZEK, Jan KAŇOVSKÝ, Ivo BERNAT, Ota HLINOMAZ, Jan BĚLOHLÁVEK, Aleš KRÁL, Vratislav MRÁZEK, Vladimir GRIGOROV, Slavyeko DJAMBAZOV, Robert PETR, Jiří KNOT, Dana BÍLKOVÁ, Michaela FISCHEROVÁ, Karel VONDRÁK, Radek MALÝ and Alena LORENCOVÁ. Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy? European Heart Journal. 2012, vol. 33, No 1, p. 86–95. ISSN 0195-668X. Available from: https://dx.doi.org/10.1093/eurheartj/ehr291.
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Basic information
Original name Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy?
Authors WIDIMSKÝ, Petr (203 Czech Republic, guarantor), Filip ROHÁČ (203 Czech Republic), Josef ŠTÁSEK (203 Czech Republic), Petr KALA (203 Czech Republic, belonging to the institution), Richard ROKYTA (203 Czech Republic), Boyko KUZMANOV (100 Bulgaria), Martin JAKL (203 Czech Republic), Martin POLOCZEK (203 Czech Republic, belonging to the institution), Jan KAŇOVSKÝ (203 Czech Republic, belonging to the institution), Ivo BERNAT (203 Czech Republic), Ota HLINOMAZ (203 Czech Republic), Jan BĚLOHLÁVEK (203 Czech Republic), Aleš KRÁL (203 Czech Republic), Vratislav MRÁZEK (203 Czech Republic), Vladimir GRIGOROV (710 South Africa), Slavyeko DJAMBAZOV (100 Bulgaria), Robert PETR (203 Czech Republic), Jiří KNOT (203 Czech Republic), Dana BÍLKOVÁ (203 Czech Republic), Michaela FISCHEROVÁ (203 Czech Republic), Karel VONDRÁK (203 Czech Republic), Radek MALÝ (203 Czech Republic) and Alena LORENCOVÁ (203 Czech Republic).
Edition European Heart Journal, 2012, 0195-668X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 14.097
RIV identification code RIV/00216224:14110/12:00059081
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1093/eurheartj/ehr291
UT WoS 000298891000011
Keywords in English Acute myocardial infarction; Right bundle branch block; Left bundle branch block; Primary angioplasty ; Reperfusion
Tags International impact
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 22/4/2013 17:32.
Abstract
Aims: The current guidelines recommend reperfusion therapy in acute myocardial infarction (AMI) with ST-segment elevation or left bundle branch block (LBBB). Surprisingly, the right bundle branch block (RBBB) is not listed as an indication for reperfusion therapy. This study analysed patients with AMI presenting with RBBB [with or without left anterior hemiblock (LAH) or left posterior hemiblock (LPH)] and compared them with those presenting with LBBB or with other electrocardiographic (ECG) patterns. The aim was to describe angiographic patterns and primary angioplasty use in AMI patients with RBBB. Conclusion: Acute myocardial infarction with RBBB is frequently caused by the complete occlusion of the infarct-related artery and is more frequently treated with primary PCI when compared with AMI + LBBB. In-hospital mortality of patients with AMI and RBBB is highest from all ECG presentations of AMI. Restoration of coronary flow by primary PCI may lead to resolution of the conduction delay on the discharge ECG. Right bundle branch block should strongly be considered for listing in future guidelines as a standard indication for reperfusion therapy, in the same way as LBBB.
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